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Implementation Problem
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Resolution: Answered
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Minor
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None
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The Measure Steward has confirmed that the measure should not be changed to exclude transfers, as this may create duplicates among denominators. The measure accounts in the numerator for situations where the screening is not done for medical reasons.
eMeasure 31 sets an expectation that every infant, other than those that expire, is screened for hearing loss prior to discharge. The measure does not allow for an exclusion of those infants that were transferred to another acute care facility for a higher level of care.
A transferring facility would not take the time to perform a hearing screening for an infant that required specialized care, prior to the transfer. Other measures allow for the exclusion of patient that is discharge to another hospital, when appropriate. Please bring this potential gap to the attention of the measure developers for consideration in the upcoming measure update.